SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1497125512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497125512 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
15012 Narrows Ln Bowie MD 20716-1202 |
| Mailing Address |
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | ERIK SUNDQUIST (NATIONAL DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PTAN | 345116 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899892 | Safe Harbor Christian Counseling | Psychologist | 4425 Forbes Blvd, Suite J, Lanham, MD 20706-4338 | 2016-09-13 |
| 1174071617 | Safe Harbor Christian Counseling | Psychologist | 658 Lucabaugh Mill Rd, Westminster, MD 21157-3814 | 2016-09-13 |
| 1922551217 | Safe Harbor Christian Counseling | Psychologist | 8921 Warfield Rd, Gaithersburg, MD 20882-4430 | 2016-08-03 |
| 1497208797 | Safe Harbor Christian Counseling | Psychologist | 12805 Georgia Ave, Silver Spring, MD 20906-3716 | 2016-08-03 |
| 1417400714 | Safe Harbor Christian Counseling | Psychologist | 1134 Long Corner Rd, Mount Airy, MD 21771-3827 | 2016-08-03 |
| 1558814855 | Safe Harbor Christian Counseling | Psychologist | 8234 Woodsboro Pike, Walkersville, MD 21793-7707 | 2016-08-03 |
| 1558735902 | Safe Harbor Christian Counseling | Psychologist | 1 Kettering Dr, Upper Marlboro, MD 20774-1514 | 2015-11-23 |
| 1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
| 1568835072 | Safe Harbor Christian Counseling | Psychologist | 11150 Berry Rd, Waldorf, MD 20603-3990 | 2015-11-05 |
| 1912370420 | Safe Harbor Christian Counseling | Psychologist | 1641 Old Westminster Rd, Westminster, MD 21157-6718 | 2015-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Safe Harbor Christian Counseling LLC | 260 Gateway Dr, Bel Air, Maryland 21014 |
| New York State Corporations | SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC | 57 Stevenson Road, Fairfield, Ct 06825 |
| Street Address |
15012 NARROWS LN |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869484 | Autism Community Enterprises, Inc | Counselor | 16604 Peach St, Bowie, MD 20716-3526 | 2020-04-09 |
| 1578101523 | Michelle Durham | Counselor | 12504 Keynote Ln, Bowie, MD 20715-2746 | 2019-12-19 |
| 1275184301 | Harold Raul Dawkins | Counselor | 14632 London Ln, Bowie, MD 20715-2572 | 2019-09-20 |
| 1679128557 | Brian Bailey | Counselor | 15201 Jenkins Ridge Rd, Bowie, MD 20721-7256 | 2019-08-07 |
| 1417413253 | Demitri Kornegay | Counselor | 12805 Vicar Woods Ln, Bowie, MD 20720-4770 | 2019-02-18 |
| 1336622059 | Amy Winiecki | Counselor | 4201 Northview Dr # 104, Bowie, MD 20716-2604 | 2018-09-09 |
| 1396225264 | Patricia Morgan Cooper | Counselor | 2825 Bosworth Ln, Bowie, MD 20715-2402 | 2018-08-20 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1528563376 | Cynthia Hunter | Counselor | 5429 Lakeford Ln, Bowie, MD 20720-4855 | 2018-03-26 |
| 1679075576 | Marcella Louise Debose | Counselor | 15957 Alameda Dr, Bowie, MD 20716-1384 | 2018-03-06 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.